Individual
R. SEAN LENAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
334 MAIN ST, DICKSON CITY, PA 18519-1668
(865) 500-1668
Mailing address
773 S 6TH ST, PHILADELPHIA, PA 19147-3037
(215) 925-2515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD073899L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018659430006
—
PA
01
—
1317530
HIGHMARK BLUE SHIELD
PA
01
—
2010572000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
03/14/2006
Last updated
05/17/2023
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